{
  "abstract": "Osteoporotic pelvic ring fractures (OPRFs) are associated with immobility-related complications and functional decline. The OF-Pelvis classification and score support treatment decision-making, but their relationship with in-hospital complications remains unclear. This study investigated whether the OF-Pelvis Score, fracture morphology, treatment modality, or patient-related factors predict in-hospital complications and short-term functional recovery. In this prospective multicentre cohort study, 390 patients with OPRFs treated at 14 German trauma centers were analysed. Fractures were classified according to the OF-Pelvis system, and score-based treatment recommendations were compared with actual treatment. Predictors of complications were assessed by logistic regression, and functional outcomes from treatment decision to discharge were analysed using repeated-measures general linear models. Treatment information was available for 386 patients; 254 (66%) underwent surgery and 132 (34%) received conservative treatment. Complications occurred in 102 patients (26%). Treatment was concordant with the OF-Pelvis Score recommendation in 90% of cases, supporting its role in treatment decision-making. However, the score did not predict in-hospital complication risk. Age was the only independent predictor of complications, whereas treatment modality, baseline mobility, pain, and ASA classification were not independently associated with adverse events. Functional outcomes improved significantly during hospitalization. The OF-Pelvis Score reflected real-world treatment decisions but did not predict complication risk. Complications were primarily associated with patient-related factors, particularly age, supporting targeted geriatric co-management and complication prevention.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Trauma, Hand and Reconstructive Surgery and Orthopedics, Universitätsklinikum Jena - Friedrich-Schiller-University, Jena, Germany.",
    "Innovationhub for Musculoskeletal Surgery Halle (IMCH), BG Klinikum Bergmannstrost Halle gGmbH, Halle (Saale), Germany.",
    "Department of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.",
    "Department of Trauma and Orthopedic Surgery, Klinikum Traunstein, Traunstein, Germany.",
    "Department of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle, Halle, Germany.",
    "Clinic for Trauma- and Reconstructive Surgery UMH, Halle, Germany.",
    "Spine Center, St. Josef-Hospital Wiesbaden, Wiesbaden, Germany.",
    "Department of Trauma and Orthopedic Surgery, Universitätsmedizin Mainz - Johannes Gutenberg-University, Mainz, Germany.",
    "Department of Orthopedic and Trauma Surgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Germany.",
    "Department of Trauma Surgery, Diakonie Krankenhaus, Bad Kreuznach, Germany.",
    "Center for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien, Erlangen, Germany.",
    "Clinic for Orthopedic Surgery, Sports Traumatology and Trauma Surgery, Städtisches Klinkum Wolfenbüttel, Wolfenbüttel, Germany.",
    "Interdisciplinary Center for Spine and Neurotrauma, Sana Klinikum Borna, Borna, Germany.",
    "Department of Trauma and Orthopedic Surgery, Universitätsklinikum Düsseldorf - Heinrich Heine University, Düsseldorf, Germany.",
    "Department of Trauma and Reconstructive Surgery, BG Unfallklinik Murnau, Murnau, Germany.",
    "Department of Orthopedics and Traumatology, Klinikum Nürnberg, Nuremberg, Germany.",
    "Clinic for Trauma Surgery and Orthopaedics, Munich Harlaching, Sanatoriumspl. 2, 81545 München, Germany."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 17,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Felix C Kohler"
    },
    {
      "affs": [
        1
      ],
      "name": "Philipp Schenk"
    },
    {
      "affs": [
        2
      ],
      "name": "Pamela Schanderl"
    },
    {
      "affs": [
        3
      ],
      "name": "Volker Zimmermann"
    },
    {
      "affs": [
        4,
        5
      ],
      "name": "Bernhard W Ullrich"
    },
    {
      "affs": [
        6
      ],
      "name": "Martin Naisan"
    },
    {
      "affs": [
        7
      ],
      "name": "Erik Wegner"
    },
    {
      "affs": [
        8
      ],
      "name": "Michael Müller"
    },
    {
      "affs": [
        9
      ],
      "name": "Frank Hartmann"
    },
    {
      "affs": [
        10
      ],
      "name": "Klaus J Schnake"
    },
    {
      "affs": [
        11
      ],
      "name": "Imke Schmerwitz"
    },
    {
      "affs": [
        12
      ],
      "name": "Lars Behr"
    },
    {
      "affs": [
        13
      ],
      "name": "Max J Scheyerer"
    },
    {
      "affs": [
        14
      ],
      "name": "Robert Pätzold"
    },
    {
      "affs": [
        15
      ],
      "name": "Sebastian Grüninger"
    },
    {
      "affs": [
        2
      ],
      "name": "Georg Osterhoff"
    },
    {
      "affs": [
        2,
        16
      ],
      "name": "Ulrich J A Spiegl"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bt62zxcwad856.bib",
  "cited_by": 0,
  "doi": "10.1016/j.bas.2026.107481",
  "fulltext_url": "https://europepmc.org/articles/PMC13743478",
  "id": "bt62zxcwad856",
  "issns": [
    "2772-5294"
  ],
  "landing_url": "https://europepmc.org/article/MED/42999624",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Pelvic and Acetabular Injuries"
    ]
  ],
  "openalex": "W7130936080",
  "pdf_url": "https://europepmc.org/articles/PMC13743478?pdf=render",
  "pmcid": "PMC13743478",
  "pmid": "42999624",
  "published": "2026-10-27",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/bt62zxcwad856.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42999624",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42999624"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Pelvic and Acetabular Injuries",
      "subfield": "surgery"
    }
  ],
  "title": "In-hospital complications and treatment decision-making in osteoporotic pelvic ring fractures: The Role of the OF-Pelvis Score.",
  "title_text": "In-hospital complications and treatment decision-making in osteoporotic pelvic ring fractures: The Role of the OF-Pelvis Score.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/bt62zxcwad856",
  "venue": "Brain & spine",
  "versions": []
}